Active NPI
Mahsa Mirazimy, PSY.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1003369646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071009339
- Practice address
- 333 N Michigan Ave Ste 1530
Chicago, IL 60601-4000 - Phone
- (847) 609-1475
- NPI assigned
- Aug 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071009339 | IL | Primary |
Addresses
Primary practice location
333 N Michigan Ave Ste 1530
Chicago, IL 60601-4000
Mailing address
333 N Michigan Ave Ste 1530
Chicago, IL 60601-4000
Phone (847) 609-1475
Other practice location 1
405 N Wabash Ave
2511
Chicago, IL 60611-3591
Phone (876) 980-6754
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.discoverpsych.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discover Psychological Services | Clinical | Current | Accepting new patients |
Locations
333 N Michigan Ave
Ste 1530
Chicago, IL 60601
Phone (847) 337-4062
333 N Michigan Ave
Ste 1120
Chicago, IL 60601
Phone (312) 576-5760
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1497244206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1003369646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N MICHIGAN AVE STE 1530",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606014000",
"telephone_number": "847-609-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N MICHIGAN AVE STE 1530",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606014000",
"telephone_number": "847-609-1475"
}
],
"practiceLocations": [
{
"address_1": "405 N Wabash Ave",
"address_2": "2511",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606113591",
"country_code": "US",
"telephone_number": "876-980-6754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRAZIMY",
"first_name": "MAHSA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-01",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071009339",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.discoverpsych.com",
"affiliation": "N",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Website",
"address_1": "333 N Michigan Ave Ste 1530",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606014000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.